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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Alerts led to cancellation of a portion of both types of contrast orders, though compliance with
the … Hisp - 1
AA - 1
Indian - 1
Caucas - 1
UIC 150 3 0 0 M-2, F-1 AA - 3
The results, interestingly, led … This project led to a meta-analysis of
published N-of-1 trials.
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - enactment of Medicare in 1965, followed by dramatic growth after the 1987 revisions to Medicare, which led … A previous study led by Dr. … HHC aides were asked to attend one of three 2-hour training sessions led
by Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - turn led to safety issues. … A fortunate coincidence led to another policy change. … This type of disconnect led to unhappy
patients and unhappy physicians. … The Program also led to demonstrable improvements in
staff engagement. … Flexible implementation led by local staff.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - turn led to safety issues. … A fortunate coincidence led to another policy change. … This type of disconnect led to unhappy
patients and unhappy physicians. … The Program also led to demonstrable improvements in
staff engagement. … Flexible implementation led by local staff.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
September 01, 2022 - Patients often are unable to recall the specific symptoms that led to the diagnosis of the penicillin … to antibiotics like penicillin have had prior exposure to the agent causing the reaction, which has led … Rashes that were blistering or led to skin peeling and/or involved mucous membranes suggest a Stevens-Johnson-like
-
www.ahrq.gov/hai/cusp/cusp-success/stjoe.html
September 01, 2012 - The award made visible the results of a complex journey led by a gifted team of nurses and physicians … CLABSI Elimination Process
In July 2004, the Keystone Team led the implementation of the CLABSI insertion … Surviving Sepsis Campaign's guidelines for bringing down the very high mortality rates from sepsis, and led
-
www.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - Process measures are supported by evidence that the clinical process—that is the focus of the measure—has led … Population process measures are supported by evidence that the process—that is the focus of the measure—has led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSUserGuide.pdf
April 01, 2014 - When a mistake happens, we try to figure out what
problems in the work process led to the mistake . … Mistakes have led to positive changes in this
pharmacy............................................. … When a mistake happens, we try to figure out what problems in the work process led to the
mistake. … Mistakes have led to positive changes in this pharmacy.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/pharmacyuserguide.pdf
July 01, 2018 - When a mistake happens, we try to figure out what
problems in the work process led to the mistake . … Mistakes have led to positive changes in this
pharmacy............................................. … When a mistake happens, we try to figure out what problems in the work process led to the
mistake. … Mistakes have led to positive changes in this pharmacy.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - An early effort to develop a pediatric-focused trigger tool led to the
development of the Canadian Pediatric … which triggers should be included in the manual approach, we decided to
include all triggers that led … occurrences) triggers that could be
automated in the academic tertiary care hospital’s EHR system and that led … Prior to the review process, experts in trigger tool methodology led three sessions of a Web-
based training
-
www.ahrq.gov/sites/default/files/publications/files/pfcases.pdf
August 01, 2014 - Two administrative assistants who support the executive team
The HealthTeamWorks program staff is led … program consists of 13 weekly online seminars that include lectures and
virtual group discussions led … Didactic teaching methods including instructor-led lectures and student pre-
session reading are used … All practice coaches participate in biweekly training calls led by the
program director or the QI manager
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
July 01, 2018 - When a mistake happens, we try to figure out what
problems in the work process led to the mistake . … Mistakes have led to positive changes in this
pharmacy............................................. … When a mistake happens, we try to figure out what problems in the work process led to the
mistake. … Mistakes have led to positive changes in this pharmacy.
-
www.ahrq.gov/prevention/guidelines/guide/section2.html
June 01, 2014 - Screening Tests
Standardization of film mammography has led to improved quality.
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www.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - The newly trained Master Trainers observe that these practices have led to confusion and chaos that put
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
January 05, 2022 - and key events
that occurred and ask questions related to team performance, such as:
• What events led
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
May 27, 2008 - upgrades have lead to missing17 or false laboratory information18;
programming mistakes have similarly led … decision support19; and
1
computerized provider order entry, the ”Holy Grail” of safety efforts, has led … to new forms of
failure.20, 21, 22, 23 These problems have led to a small but slowly growing realization … had performed as designed,
3
but the design had not anticipated the set of circumstances that led
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - medical home transformation and/or delivery of new preventive services, States supplemented expert-led … participated in one round of Maine’s learning collaborative—to learn with and from each other in expert-led … This strategy was one of several used by Maine that ultimately led to an increase of 11.1 percentage … Practices placed a particularly high value on learning collaboratives led by respected physicians and
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - An initiative around opioids stewardship, for example, led to new
tools being developed to help both … By bringing diverse staff members together, the collaborative structure also has led to rapid
improvements
-
www.ahrq.gov/news/blog/ahrqviews/ahrq-in-2018.html
January 01, 2019 - Hospital-Acquired Conditions showed continued progress in improving patient safety, a signal that initiatives led
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - physician-owned until recently, when changes to reimbursement, competition, and other market dynamics led … Funding and Payers
Many factors have led purchasers in the State market to put more pressure on providers … Each RCI event is led by a facilitator, who is a member of the process improvement staff group. … This improvement in procedures led to staff having the tools they need to do their job well, in turn … This led some interviewees to question the motivations of leadership.
Other projects.